Samera Health

What Samera Health does

Samera Health is a privately held Third Party Administrator (TPA) headquartered in Smithfield, Utah, that administers employer-sponsored health, dental, vision, and life/annuity benefit plans. The company sells primarily to employer groups through direct outreach (phone, email, website contact) and serves individual employees as covered members under those group plans. Its primary geographic footprint is Utah and Southeastern Idaho, with nationwide provider access enabled through a partnership with First Health Complementary; core provider network access is anchored by Intermountain Healthcare facilities and the University of Utah Hospital and Clinics under the Expanded Network tier.

The company's product portfolio includes self-funded and fully insured health plans, self-funded and fully insured dental plans, self-funded and fully insured vision plans (the latter with open-access, no-network restriction), and life insurance and annuity products. Supporting the core benefits are digital tools including an iOS/Android mobile app for member ID card and plan access, an online member portal (benefit-support.com) for claims and deductible viewing, a provider portal for eligibility and claim status checks, an employer portal for group management, an online claim reimbursement system for vision/dental/medical submissions, and Machine Readable Files published for Transparency in Coverage compliance. Pricing is quote-based and negotiated per employer contract, with monthly billing cadence; no pricing tiers are publicly disclosed.

Samera Health generates revenue through recurring administrative fees charged to employer clients for claims processing, network management, and member services. The company emphasizes personalized customer service and long-term employer relationships as its primary value proposition, and operates with a very small team (5 employees) in a regionally concentrated market. Its only disclosed enterprise customer reference is iFIT, a fitness/wellness technology company, which appears prominently in employer testimonials. The company is privately held with no disclosed institutional investors, funding rounds, or M&A activity.

Name

Samera Health

Legal name

Samera Health

Website

https://samerahealth.com

Company type

Private

Operating status

Operating

Short description

Samera Health is a privately held Third Party Administrator based in Smithfield, Utah, administering self-funded and fully insured health, dental, vision, and life/annuity benefit plans for employer groups, primarily in Utah and Southeastern Idaho with nationwide network access via First Health Complementary.

Ownership category

akta.pro rank

Product category

Health Benefits Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324)

akta.pro industry

PRIMARYHLAEALAA

Self-Funded Employer Plan TPA (ASO Administration)

Healthcare & Life Sciences/Health Insurance & Managed Care/Third-Party Administration (TPA) & Administrative Services Only (ASO)

SECONDARYHLAEALAN

Ancillary Benefits TPA (Dental/Vision/Life/Accident/Critical Illness)

Healthcare & Life Sciences/Health Insurance & Managed Care/Third-Party Administration (TPA) & Administrative Services Only (ASO)

SECONDARYHLAEAIAJ

Dental Benefit Administration (DBA) & ASO/TPA for Dental

Healthcare & Life Sciences/Health Insurance & Managed Care/Dental Insurance Plans

SECONDARYHLAEAJAI

Vision Benefit Administration (VBA) / Vision TPA (ASO)

Healthcare & Life Sciences/Health Insurance & Managed Care/Vision Insurance Plans

SECONDARYHLAEALAJ

Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises)

Healthcare & Life Sciences/Health Insurance & Managed Care/Third-Party Administration (TPA) & Administrative Services Only (ASO)

Keywords

• Third party administration
• Health benefits administration
• Employer-sponsored insurance
• Self-funded health plans
• Claims administration services

Headquarters

HQ city

Smithfield

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Third Party Administration Fees: Samera Health generates revenue by administering employer-sponsored health benefit plans including medical, dental, vision, and life/annuity products. As a TPA, they charge administrative fees to employers for processing claims, managing provider networks, and delivering member services through their online portal and mobile app.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels4 records

Core offering

Samera Health is a Third Party Administrator (TPA) that administers employer-sponsored health, dental, vision, and life/annuity benefit plans. The company processes claims, manages provider networks, and provides member services through online portals and a mobile app, primarily serving employer groups in Utah and Southeastern Idaho counties with nationwide coverage via First Health Complementary partners.

Product overview

Samera Health is a Third Party Administrator (TPA) offering employer-sponsored benefits with a multi-product portfolio. The core offerings include Self-Funded Health Plans, Dental Plans (both Fully Insured and Self-Funded), Vision Plans (both Fully Insured and Self-Funded), and Life Insurance with investment/Annuities. Supporting the core insurance products is a suite of digital tools: the Samera Health Mobile App for iOS/Android, an Online Claim Reimbursement System for Vision/Dental/Medical submissions, a Provider Directory for finding in-network medical/dental/vision providers, Member/Provider/Employer Online Portals for account management, and Machine Readable Files for regulatory compliance. Vision plans notably have no network restriction, allowing members to see any provider.

Differentiator

Problem solved

Functional benefit

Products and services

• Self-Funded Health Plans

Quantifiable outcome

• Cost savings through choosing appropriate care settings (alternatives to ER can save up to $2,000)
• +1 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Four partnerships are on record, tiered core.

• First Health ComplementarycoreTechnology or IntegrationFirst Health Complementary provides nationwide provider network access for Samera Health's Expanded network outside of Utah and Southeastern Idaho counties. This partnership enables members to access in-network benefits when traveling or residing outside the primary service area.
• Intermountain Healthcare (IHC)coreTechnology or IntegrationIHC facilities are part of Samera Health's Direct Network in Utah. IHC provides the healthcare facilities and providers that Samera Health members access for in-network care. IHC Connect Care telehealth services are referenced for virtual urgent care visits.
• University of Utah Hospital and ClinicscoreTechnology or IntegrationUniversity of Utah Hospital and Clinics are included in Samera Health's Expanded Network, providing access to academic medical center services for members seeking specialized care.
• Southeastern Idaho FacilitiescoreTechnology or IntegrationSoutheastern Idaho healthcare facilities are part of Samera Health's Direct Network coverage area, providing regional access for members in that area.

Scale indicators1 record

Recent moves5 records

Expansion highlights4 records

Direct peers

• Meritain Health: A large national TPA administering self-funded medical, dental, vision, and ancillary benefits for employers. Directly comparable to Samera Health as a third-party administrator serving employer-sponsored benefit plans, though at significantly larger scale and broader geographic footprint.
• UMR (United Medical Resources): UnitedHealthcare's TPA division, administering self-funded employer health plans nationally. Direct peer to Samera Health in the self-funded employer TPA segment, with a similar core value proposition of cost-saving plan designs and broad provider network access.
• HealthScope Benefits: TPA offering self-funded medical, dental, vision, and COBRA administration for employers. Direct peer to Samera Health in the multi-product employer TPA space, with similar focus on flexible plan design and employer cost containment.
• Allied Benefit Systems: Independent TPA providing self-funded health, dental, vision, and other ancillary benefits to employer groups. Direct peer to Samera Health, operating in the same niche of mid-market employer benefit administration with comparable product breadth.
• Benefit Plan Administrators: Mid-market TPA administering self-funded health, dental, vision, and life plans for employer groups. Direct peer to Samera Health with comparable service portfolio and target customer segment of small-to-mid-sized employers.
• Lucent Health: National TPA offering self-funded health plan administration, stop-loss coverage, and care management for employers. Comparable to Samera Health in the self-funded TPA segment, with overlapping focus on employer cost control and member experience.

Broad incumbents

• WEX Health: Benefits technology platform powering COBRA, HSA, and consumer-directed health administration for TPAs and employers. Comparable to Samera Health as enabling infrastructure for benefits administration, though WEX operates as a broader technology vendor rather than a TPA itself.
• Benefitfocus: Cloud-based benefits administration platform serving employers, TPAs, and carriers. Comparable to Samera Health in the employer benefits administration category, though at a much larger scale and as a software platform rather than an operating TPA.

Regional players

• SelectHealth (Intermountain Healthcare): Utah-based health insurer affiliated with Intermountain Healthcare, offering employer-sponsored group health plans in the Mountain West. Comparable to Samera Health as a regional administrator of employer health benefits in the same Utah/Idaho geography, though SelectHealth is a carrier rather than a pure TPA.
• EMI Health: Utah-based health insurer and benefits administrator offering employer-sponsored medical, dental, and vision plans. Comparable to Samera Health as a regional competitor in the same Utah market providing multi-product employer benefits administration.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat2 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Samera Health